Introduction: Spontaneous intracerebral hemorrhage accounts for 10-15% of strokes and the most fatal type. Management of spontaneous intracerebral hematoma (SICH) is divided into two groups - medical and surgical interventions. Although surgical management is controversial, it can be lifesaving when patient is deteriorating. Objective: The aim of this study are to describe clinical, radiological features, surgical management, and patientâ€™s outcome. Method: This is a descriptive case series study, carried out retrospectively over a period of 2 years at department of surgery, neurosurgery division, Prof. DR. WZ Johannes General Hospital, Kupang. Total of 14 patients were included in the study. Clinical, radiological features, period between onset and operation, surgical management and outcome were identified. Results: Hemiparesis or hemiplegia and language dysfunction (92.86%) was the commonest presenting clinical feature followed by headache (71.43%). Most of the hematomas were in basal ganglia region (57.14%), (50.00%) involving cortex cerebral, (35.71%) involving thalamus, and (28.57%) had intraventricular extension. Craniotomy clot evacuation was the major surgical intervention used to manage. Conclusion: Hemiparesis and language dysfunction were the most frequent presenting clinical features. Deeper region of the brain as basal ganglia more involved than other area of the brain. Surgical intervention used to manage is based on clinical condition and anatomical complication of the patients.